Lembaran kerja Nilai makmal & elektrolit dengan jawapan
Lembaran kerja Nilai makmal & elektrolit percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.
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Nama: ____________________ Tarikh: ____________
1.Mudah
What is the main effect of parathyroid hormone (PTH) on serum calcium?
AIt raises serum calcium
BIt lowers serum calcium
CIt has no effect on calcium
DIt only changes urine calcium
2.Mudah
Apakah julat rujukan dewasa yang lazim bagi nitrogen urea darah (BUN)?
AKira-kira 135–145 mg/dL (urea 48–52 mmol/L)
BKira-kira 0.6–1.2 mg/dL (urea 0.2–0.4 mmol/L)
CKira-kira 70–99 mg/dL (urea 25–35 mmol/L)
DKira-kira 7–20 mg/dL (urea 2.5–7.1 mmol/L)
3.Mudah
Which condition commonly causes a high serum potassium?
ALoop diuretic use
BRepeated vomiting
CSevere diarrhea
DKidney failure
4.Sederhana
A pregnant woman's blood type is O Rh-negative, and her antibody screen (indirect Coombs test) is negative. What is usually offered at about 28 weeks?
AAnti-D immunoglobulin (Rho(D) immune globulin)
BDaily oral iron and folic acid supplements only
CAn IV dose of vitamin K given for the fetus
DA transfusion of group O Rh-positive red cells
5.Sederhana
Seorang pesakit mempunyai natrium 152 mEq/L. Dapatan manakah yang dijangka oleh jururawat?
APertambahan berat badan dengan buku lali bengkak
BBradikardia dengan gelombang T runcing
CDahaga, membran mukus kering dan kegelisahan
DKedutan otot dengan tanda Trousseau yang positif
6.Sederhana
Seorang pesakit yang sedar dengan glukosa darah 54 mg/dL (3.0 mmol/L) telah mengambil 15 g karbohidrat bertindak pantas. Bilakah glukosa patut diperiksa semula?
ASelepas kira-kira 15 minit
BPagi esok
CSelepas kira-kira 2 jam
DPada waktu makan seterusnya
7.Sukar
A patient on long-term amiodarone has fatigue and weight gain. TSH is 11 mIU/L and the free T4 is low. What is the most likely explanation?
ASecondary hypothyroidism from pituitary failure
BA normal response to amiodarone needing no action
CAmiodarone-induced hypothyroidism
DAmiodarone-induced hyperthyroidism
8.Sukar
A patient taking isoniazid for latent TB reports nausea, loss of appetite and dark urine. The ALT is five times the upper limit of normal. What is the best action?
ADouble the dose to finish the treatment course more quickly
BHold the isoniazid and report the findings to the prescriber at once
CContinue the isoniazid and give it with food to settle the stomach
DReassure the patient that dark urine is a harmless drug effect
Kunci jawapan
1. A · It raises serum calcium
2. D · Kira-kira 7–20 mg/dL (urea 2.5–7.1 mmol/L)
3. D · Kidney failure
4. A · Anti-D immunoglobulin (Rho(D) immune globulin)
5. C · Dahaga, membran mukus kering dan kegelisahan
6. A · Selepas kira-kira 15 minit
7. C · Amiodarone-induced hypothyroidism
8. B · Hold the isoniazid and report the findings to the prescriber at once
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